(1) The name of the landlord or landlord's agent and
the landlord's or landlord's agent's contact information, including, if
possible, phone number, electronic mail address, and mailing address;
(2) The address of the dwelling unit subject to the
rental agreement;
(3) The name and contact information of all tenants
listed on the rental agreement, including phone number and, if possible,
electronic mail address and mailing address;
(4) The current amount of the rent due as of the date
of the notice, after applying all rent paid from all sources;
(5) Notice that a copy of the ten-calendar-day notice
being provided to the tenant is also being provided to a state-funded mediation
center for the mediation center to contact the landlord, or landlord's agent,
and tenant to schedule a mediation regarding the nonpayment of rent in
accordance with subsection (c);
(6) Notice that the landlord or landlord's agent may
file an action for summary possession if the rent due is not paid and if
mediation is not scheduled within ten calendar days after the tenant's receipt
of the ten-calendar-day notice, regardless of whether the scheduled mediation
session occurs within the ten calendar days;